정서적 공감을 위한 의사소통 기술과 임상수행평가 - 학업성취도와의 관계: 일개 의학전문대학원 자료를 중심으로
Correlation of Communication Skills for Emotional Empathy and Academic Achievement on Clinical Performance Examinations
2
조회
0
다운로드
9
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the correlation between communication skills for emotional empathy and academic achievement on the Clinical Performance Examination (CPX). Methods: One hundred twelve medical school students were observed to determine the extent to which they applied communication skills for emotional empathy (preparation stage: interview attitude, respect; rapport stage: encouragement, active listening, will for support; empathy stage: verbal expression empathy, nonverbal expression empathy, acceptance) to the CPX, as well as their level of understanding of these skills to calculate the Pearson r, which can be used to determine the correlation between communication skills and academic achievement (hematochezia, fatigue, abnormal menstruation, chest pain, alcohol problems). Results: Male students had higher scores than females for all communicational skills except verbal expression empathy. Fourth-year students had statistically more significant correlations than third-year students with regard to the rapport stage 'active listening' and empathy stage 'nonverbal expression' and abnormal menstruation and chest pain. Correlations were also more significant for hematochezia in the preparation stage 'interview attitude,' rapport stage 'encouragement,' and empathy stages 'verbal and nonverbal expression' and 'acceptance.' The empathy stage 'nonverbal expressions' was more significant for fourth-year students with alcohol problems. Third-year students largely had negative correlations between emotional empathy communication skills and CPX academic achievement, especially between the preparation stage 'respect' and abnormal menstruation, and between the rapport stage 'encouragement' and hematochezia. Conclusion: There was a significant correlation between hematochezia, wherein MS students deliver bad news to patients, and communication skills for emotional empathy.
Abstract
Purpose: The purpose of this study was to identify the correlation between communication skills for emotional empathy and academic achievement on the Clinical Performance Examination (CPX). Methods: One hundred twelve medical school students were observed to determine the extent to which they applied communication skills for emotional empathy (preparation stage: interview attitude, respect; rapport stage: encouragement, active listening, will for support; empathy stage: verbal expression empathy, nonverbal expression empathy, acceptance) to the CPX, as well as their level of understanding of these skills to calculate the Pearson r, which can be used to determine the correlation between communication skills and academic achievement (hematochezia, fatigue, abnormal menstruation, chest pain, alcohol problems). Results: Male students had higher scores than females for all communicational skills except verbal expression empathy. Fourth-year students had statistically more significant correlations than third-year students with regard to the rapport stage 'active listening' and empathy stage 'nonverbal expression' and abnormal menstruation and chest pain. Correlations were also more significant for hematochezia in the preparation stage 'interview attitude,' rapport stage 'encouragement,' and empathy stages 'verbal and nonverbal expression' and 'acceptance.' The empathy stage 'nonverbal expressions' was more significant for fourth-year students with alcohol problems. Third-year students largely had negative correlations between emotional empathy communication skills and CPX academic achievement, especially between the preparation stage 'respect' and abnormal menstruation, and between the rapport stage 'encouragement' and hematochezia. Conclusion: There was a significant correlation between hematochezia, wherein MS students deliver bad news to patients, and communication skills for emotional empathy.
참고문헌 (22)
- 안서원, "전공의와 환자의 의사-환자 관계에 대한 상호 인식 조사", 한국의학교육, 18(3), pp.279~288 (2006), 한국의학교육학회
- 이영미, "좋은 의사'의 특성 규명을 위한 기초 연구", 한국의학교육, 19(4), pp.313~323 (2007), 한국의학교육학회
- Yang YS, "Mediating effects of empathy and forgiveness on the relationship between marital conflicts and psychological maladjustment", pp.2008
- Hojat M, "The devil is in the third year: a longitudinal study of erosion in empathy in medical school", Acad Med, 84, pp.1182~1182 (2009)
- Hojat M, "Empathy in patient care: antecedents, development, measurement, and outcomes" (2007), Springer
- Kestenbaum R, "Individual differences in empathy among preschoolers: relation to attachment history in Empathy and related emotional responses", pp.51~64 (1989), Jossey-Bass
- Kohut H, "The analysis of the self: a systematic approach to the psychoanalytic treatment of narcissistic personality disorders" (1971), International Universities Press
- Basch MF, "Empathic understanding: a review of the concept and some theoretical considerations", J Am Psychoanal Assoc, 31, pp.101~126 (1983)
- Eisenberg N, "Empathy and related emotional responses" (1989), Jossey-Bass
- Hoffman ML, "The development of empathy in Altruism and helping behavior: social, personality, and developmental perspectives", pp.41~63 (1981), Lawrence Erlbaum Associates, Inc
- Davis MH, "Measuring individual differences in empathy:evidence for a multidimensional approach", J Pers Soc Psychol, 44, pp.113~126 (1983)
- Hodges SD, "Automatic and controlled empathy in Empathic accuracy", pp.311~339 (1997), Guilford
- Spiro H, "Commentary: the practice of empathy", Acad Med, 84, pp.1177~1179 (2009)
- 김양희, "진료실습전 훈련 방법과 기간에 따른 의학과 학생의 의사소통능력의 향상", 한국의학교육, 21(1), pp.3~16 (2009), 한국의학교육학회
- 양은배, "환자-의사간 의사소통 기술 교육에 대한 고찰", 한국의학교육, 20(2), pp.99~107 (2008), 한국의학교육학회
- 최창진, "임상실습을 마친 의대생의 환자 중심적 의사소통 기술과 태도", 한국의학교육, 16(2), pp.169~178 (2004), 한국의학교육학회
- Branch WT Jr, "Viewpoint: teaching respect for patients", Acad Med, 81, pp.463~467 (2006)
- Makoul G, "Essential elements of communication in medical encounters: the Kalamazoo consensus statement", Acad Med, 76, pp.390~393 (2001)
- Shapiro J, "How do physicians teach empathy in the primary care setting?", Acad Med, 77, pp.323~328 (2002)
- Roter DL, "Physician gender effects in medical communication: a meta-analytic review", JAMA, 288, pp.756~764 (2002)
- 박재현, "환자-의사 관계에 대한 의대생의 태도", 한국의학교육, 19(3), pp.215~223 (2007), 한국의학교육학회
- 이병국, "의과대학생 및 의학전문대학원생의 공감 능력과 학제, 학년 그리고 성격의 연관성", 한국의학교육, 21(2), pp.117~124 (2009), 한국의학교육학회